Ms Blake Borders, | |
222 Bland St, Benton, MO 63736-9206 | |
(573) 427-6027 | |
(573) 427-6027 |
Full Name | Ms Blake Borders |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 222 Bland St, Benton, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366950693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2017026029 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Francis Medical Center | Cape girardeau, MO | Hospital |
Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Francis Medical Center | 9931007929 | 387 |
Entity Name | Saint Francis Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
Entity Name | Managed Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013949593 PECOS PAC ID: 1951298157 Enrollment ID: O20040302001107 |
Mailing Address | Practice Location Address |
---|---|
Ms Blake Borders, Po Box 801143, Kansas City, MO 64180-1143 Ph: (573) 331-5583 | Ms Blake Borders, 222 Bland St, Benton, MO 63736-9206 Ph: (573) 427-6027 |
Amber Nicole Thorne, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6468 State Highway 77, Benton, MO 63736 Phone: 573-545-3700 | |
Mrs. Jaimie Suzanne Cannon, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6468 State Highway 77, Benton, MO 63736 Phone: 573-545-3565 Fax: 573-545-3491 |